Case Study

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Case Study 1: Skin and Eye BIO-3372 Dr. Blankinship 23rd March, 2009 By Shivani Pandya & Cole Whatley 1. What are the lesions diagnostic of? Explain how you decide. Answer: The lesions are the diagnostic of “Shingles (Herpes Zoster)”. The chief complaint of the patient is a group of lesions on the child’s back. The baby’s mother explains that the spot on the baby’s back just popped up two days ago and that the baby hasn’t had a fever and seems well. When the baby was examined, it observed that, there is a group of seven to eight blisters like lesions localized to the left of the baby’s spine and they have clear fluid in them. Herpes Zoster is a viral infection of the nerve roots. The causative agent is Varicella-zoster virus. This disease causes pain and often causes a rash on one side of the body, either right or left. The rash turns into clusters of blisters and the blisters then filled with fluid. According to the first observation, the baby has several blisters to the left side of his spine and the blisters have clear fluid inside. These symptoms reflect that the baby has shingles. 2. Although this particular condition is somewhat unusual in babies, the lesions indicate that the child must have experienced a common childhood illness earlier. Which one? Answer: Although this particular condition is somewhat unusual in babies, the lesions indicate that the child must have experienced a common childhood illness, which is “Chickenpox” earlier. 3. The mother says that that, to her knowledge, the baby has not had this common childhood illness, but that his 3-year-old sister had it four months ago, when the baby was 2 months old. Explain the link between the girl’s illness and the baby’s condition. Answer: The mother says that, to her knowledge, the baby does not have chickenpox before. To understand the link between girls’

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